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1581. Research Methods for Studying the Primary Care Workforce: Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
      August 01, 2024 - develop, retain, and grow this workforce and to further understanding and improvement of burnout, moral injury … burden, patient wait times, how time is spent in a limited primary care patient visit, impact of time pressure

1582. Making Healthcare Safer IV Rapid Review: Prevention in Adults of Infection With Transmission of Multidrug-Resistant Organisms (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-rapid-research.pdf
      April 01, 2024 - injuries, inpatient falls) • Clinical outcomes specifically for: o Central-line associated bloodstream … dehiscence, pressure ulcers, and falls/trauma. … ulcers, hemorrhage, thrombosis, and post-operative respiratory failure, and wound dehiscence) after … dehiscence, pressure ulcers, falls/trauma) decreased by 19% (12.3 to 10.0 per 1000 admissions, … Eur J Trauma Emerg Surg. 2021 Aug;47(4):1003-13. doi: 10.1007/s00068-020-01477-z. PMID: 32914198.

1583. In Conversation With… Dave deBronkart | PSNet
      psnet.ahrq.gov/perspective/conversation-dave-debronkart
      June 01, 2014 - saw a flurry of new patient organizations, among them the Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on hospitals, where the most devastating patient injuries … Laaser U, Senault R, Viefhues H, German Society for Social Medicine, German Institute for High Blood Pressure … Medically Induced Trauma Support Services. [Available at] 18. Mothers Against Medical Error.

1584. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
      psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
      June 01, 2014 - saw a flurry of new patient organizations, among them the Josie King Foundation, Medically Induced Trauma … advocates, too, have generally concentrated their efforts on hospitals, where the most devastating patient injuries … Laaser U, Senault R, Viefhues H, German Society for Social Medicine, German Institute for High Blood Pressure … Medically Induced Trauma Support Services. [Available at] 18. Mothers Against Medical Error.

1585. The Performance of Fusion Procedures for Degenerative Disease of teh Lumbar Spine (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/lumbar-fusion-protocol.pdf
      June 20, 2024 - spine surgery safety by providing neural structure assessment 3 and detecting neurological injury … Does the use of intraoperative monitoring (IONM) decrease perioperative neurological injuries compared … • Decompression: A surgical procedure aimed at relieving pressure on the spinal cord or nerve roots … evoked potentials, electromyography) to assess neural structures and reduce the risk of neurological injury … • Neurological injuries due to surgery: Damage to the spinal cord or nerves during surgeries, possibly

1586. PEPTIC ULCER #11 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - Resting LES manometric pressure changed from 52.5 mm Hg before POEM to 19.8 mm Hg after the procedure … Significant reductions in Eckardt score (1.1–7.5, p<0.0001) and LES pressure (19–49 mm Hg, p<0.0001 … Esophageal achalasia is typically diagnosed by the manometric detection of elevated LES resting pressure … primary cause of SBS is surgical removal of more than half of the small intestine because of disease, injury … POEM relieves dysphagia, sphincter pressure. [internet].

1587. Disposition of Comments_Comparative Effectiveness Review No. 249: Malnutrition in Hospitalized Adults: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-249-malnutrition-disposition-comments_0_0.pdf
      October 13, 2021 - injuries (Meehan et al (2016)) and reduced length of stay (Siegel et al (2019)). … intentional and reflective our improved understanding of the immunology and the acute response to injury … trials on the measurement of blood pressure on clinical outcomes? … To the Reviewer's point about blood pressure, many trials are still conducted in which patients are … Still, for KQ1 studies from ICU, traumatic injury and decompensated chronic disease consistently show

1588. Virginia Final Report
      hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQFINALREPORTVHI.jsp
      July 01, 2016 - Ulcer (707.03) 0 0.0 12 92.3 1 7.7 13 Pressure Ulcer (707.07) 0 0.0 5 100.0 … 0 0.0 5 Pressure Ulcer (707.09) 0 0.0 3 100.0 0 0.0 3 Pulmonary Embolism … 9.40 13 Post-operative sepsis 18.10 15.90 15.06 6.60 6.60 14* Post-operative wound … 16* Transfusion reaction, secondary DX field 0.00 0.00 0.00 . . 17 Birth trauma-Injury … 36.20 . . 20 OB Trauma-cesarean section 5.50 5.50 3.93 . .

1589. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
      January 01, 2020 - peripheral vascular complication [including pseudoaneurysm, hematoma at catheter insertion site, vascular injury

1590. Becoming a Patient Safety Organization | PSNet
      psnet.ahrq.gov/perspective/becoming-patient-safety-organization
      July 01, 2011 - for the more common types of events, such as health care–associated infections, medication errors, pressure … March 8, 2023 6-PACK programme to decrease fall injuries in acute hospitals: cluster

1591. Return on Investment Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
      January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

1592. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
      September 01, 2024 - Normal pressure hydrocephalus and mania symptoms: case report. … against overtesting, overdiagnosis, and overtreatment of older adults: thinking beyond imaging and injuries

1593. INSTRUCTIONS: Return on Investment Estimation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
      January 01, 2009 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

1594. Development of a Targeted Patient Portal Intervention to Improve Depression Treatment Adherence, Satisfaction, and Outcomes (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025785-turvey-final-report-2021.pdf
      January 01, 2021 - observe graphs of their hemoglobin A1c, or patients with hypertension may review graphs of their blood pressure … national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries

1595. Return on Investment Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
      January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

1596. Archived: Evidence Summary: Statins for Prevention of Cardiovascular Disease in Adults: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-statins/statin-use-in-adults-preventive-medication-november-2016
      November 13, 2016 - coronary heart disease, stroke-related morbidity or mortality, or harms of treatment (including muscle injury … , cognitive loss, incident diabetes, and hepatic injury). … Stenosis Progression Observation: Measuring Effects of Rosuvastatin; BMI, body mass index; BP, blood pressure … intima-media thickness; CRP, C-reactive protein; CVD, cardiovascular disease; DBP, diastolic blood pressure … Vascular Endstage Disease Intervention Trial; PVD, peripheral vascular disease; SBP, systolic blood pressure

1597. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
      January 01, 2024 - implement interventions to address these.1 Development of the BI-OTT Consistent with the “no preventable injuries … in terms of reported medical expenditures, employment status, or work days missed due to illness or injury … High blood pressure (hypertension)? 11(64.7) 23(67.6) 0.83** d. High cholesterol (hyperlipidemia)? … 18.8) During 2010 about how many days did you miss work at a job or business because of illness or injury … patients in terms of reported medical expenditures, employment status, or days missed due to illness or injury

1598. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
      January 01, 2025 - primary complaint of fall occurring within the previous 48 hours; were not categorized as a level 1 trauma … Nurses described challenges with teach back, including time pressure for both themselves and patients … info organized logically, important info on front page • Useful info in AVS (e.g., info on home care (wound … care partner during D/C • ED physician/ APP talking with pt about D/C before ED nurse • Time pressure … Preventable medical injuries in older patients. Arch Intern Med. 2000;160:2717-2728. 14.

1599. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
      September 01, 2012 - Adverse event*: Any injury caused by medical care. … include pneumothorax from central venous catheter placement, anaphylaxis to penicillin, postoperative wound … Similarly, postoperative wound infections count as adverse events even if the operation proceeded with … Teamwork training improves the clinical care of trauma patients. … About 30 minutes later, he begins to develop some chest pressure, which he had not noticed before.

1600. Crosscutting-Horizon-Scan-High-Impact-1312 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - Senior-specific EDs use furnishings and equipment designed to provide comfort, reduce injury risk, … Reclining chairs and padded/lined stretchers are intended to improve patient comfort and reduce risk of pressure … return rate for seniors who came back within 30 days of treatment for the same illness or 13 injury … Clinical researchers state that these challenges, combined with the pressure to make rapid diagnoses … These mattresses can increase risk of a patient developing pressure ulcers.